DANIEL H DE TOLLA, D.D.S., M.D., PA
Ambulatory Health at Griffin Rd, Portsmouth, NH

License number
New Hampshire 3472
Category
Ambulatory Health
Type
Oral and Maxillofacial Surgery
Owner
Name: DR. DANIEL HENRY DE TOLLA D.D.S., M.D.
Title: ORAL SURGEON
Phone: (603) 436-3608
Address
Address
200 Griffin Rd SUITE 8, Portsmouth, NH 03801
National Provider ID: 1962620229
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Daniel H. De Tolla, D.D.S., M.D., PA

Portsmouth, NH

Industry:
Dentist's Office
Doing business as:
Daniel H De Tolla DDS MD PA<br>Seacoast Dental Implnt & Orl S
Registration:
Aug 4, 2009
Addresses:
200 Griffin Rd S8, Portsmouth, NH 03801 (Physical)
200 Griffin Rd, Portsmouth, NH 03801
State ID:
617535
Business type:
Professional Association - Domestic
Administrations:
Daniel H. De Tolla (Family And General Dentistry, Medical Doctor, Oral & Maxillofacial Surgeon),Craig M. Leffingwell (Administration)
Agent:
Esq Phoenix,127 Parrott Ave, Portsmouth, NH 03801 (Physical)

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